S0315 Disease management program
Also known as: disease management program, DMP
Disease management program enrollment and initial assessment. Entry into structured chronic disease management program with baseline evaluation.
In Plain Language
disease program enrollment; chronic care program
Clinical Context
Structured program for specific chronic conditions like congestive heart failure, diabetes, asthma, chronic obstructive pulmonary disease. Initial assessment establishes baseline and treatment goals.
RVU Information
CPT S0315 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
S-codes are used by private payers (not Medicare) for services without a standard CPT or HCPCS code. Coverage varies significantly between insurers. Verify payer acceptance before billing and document medical necessity thoroughly.
Specialties
Frequently Asked Questions
What is CPT code S0315?
CPT S0315 (Disease management program) is a S Codes code. Disease management program enrollment and initial assessment. Entry into structured chronic disease management program with baseline evaluation.
Is S0315 covered by insurance?
S0315 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Structured program for specific chronic conditions like congestive heart failure, diabetes, asthma, chronic obstructive pulmonary disease. Initial assessment establishes baseline and treatment goals.
When is CPT S0315 used?
Structured program for specific chronic conditions like congestive heart failure, diabetes, asthma, chronic obstructive pulmonary disease. Initial assessment establishes baseline and treatment goals.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.